J Korean Acad Nurs Adm.  2018 Jan;24(1):51-60. 10.11111/jkana.2018.24.1.51.

Factor Influencing New Graduate Nurses' Turnover Intention according to Length of Service

• Ji EA
• Kim JS

• KMID: 2403683
• DOI: http://doi.org/10.11111/jkana.2018.24.1.51

Abstract

PURPOSE
The purpose of the study was to explore factors influencing turnover intention of new graduate nurses according to length of services.
METHODS
From May to July, 2017, a survey was conducted among 220 nurses working in four hospitals. Inclusion criteria were new graduate nurses who had careers of less than 16 months. Data were collected on organizational socialization, support in work place, job stress, and turnover intention.
RESULTS
Satisfaction with current work department, job satisfaction, organizational commitment, and job stress were significant factors influencing turnover intention of new nurses with less than six months experience. However, in case of nurses with seven to 15 months experience, only organizational commitment influenced turnover intention.
CONCLUSIONS
These findings indicate that the factors influencing turnover intention are different according to the length of time the new graduate nurses have worked. To reduce the turnover intention of new nurses, it is necessary to differentiate human resource management approaches according to length of employment. The study results could be useful evidence for developing strategies to reduce turnover in new nurses.

Keyword

Job satisfaction; Personnel turnover; Intention

MeSH Terms

Employment
Humans
Intention*
Job Satisfaction
Personnel Turnover
Socialization
Workplace

Reference

References

1. Korean Hospital Nurses Association. 2015 Annual report. Seoul: Korean Hospital Nurses Association;2016.

2. Lee EJ. Nurses, and nurses leave the medical field for medical reasons. Chosunilbo. September 25. 2017. Sect. MedicineHealth. Available from:. http://news.chosun.com/site/data/html_dir/2017/09/24/2017092401196.html.

3. Halfer D, Graf E. Graduate nurse perceptions of the work experience. Nursing Economic$. 2006; 24(3):150–155. 123.

4. Jones CB, Gates M. The costs and benefits of nurse turnover: A business case for nurse retention. Online Journal of Issues in Nursing. 2008; 12(3):https://doi.org/10.3912/OJIN.Vol12No03Man04.

5. Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: A literature review. International Journal of Nursing Studies. 2006; 43(2):237–263. https://doi.org/10.1016/j.ijnurstu.2005.02.007.

6. Coomber B, Louise Barriball K. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature. International Journal of Nursing Studies. 2007; 44(2):297–314. https://doi.org/10.1016/j.ijnurstu.2006.02.004.

7. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002; 288(16):1987–1993. https://doi.org/10.1001/jama.288.16.1987.

8. Friese CR, Lake ET, Aiken LH, Silber JH, Sochalski J. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research. 2008; 43(4):1145–1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x.

9. Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care-associated infection. American Journal of Infection Control. 2012; 40(6):486–490. https://doi.org/10.1016/j.ajic.2012.02.029.

10. Kim IS, Jang KS, Lee MH, Han NS, Lee TH, Kim JS, et al. Nursing management. 3rd ed. Seoul: Hyunmoon;2009.

11. O'Brien-Pallas L, Murphy GT, Shamian J, Li X, Hayes LJ. Impact and determinants of nurse turnover: A pan-Canadian study. Journal of Nursing Management. 2010; 18(8):1073–1086. https://doi.org/10.1111/j.1365-2834.2010.01167.x.

12. Jeoung HY, Kim SY. Effects of nursing professionalism and job involvement on turnover intention among new graduate nurses. Journal of Korean Academy of Nursing Administration. 2016; 22(5):531–539. https://doi.org/10.11111/jkana.2016.22.5.531.

13. Kim MJ, Park SA. Experiences of hospital nurses' turnover: Determinants of factors affecting turnover intention. Journal of Military Nursing Research. 2010; 28(1):56–69.

14. Alotaibi M. Voluntary turnover among nurses working in Ku-waiti hospitals. Journal of Nursing Management. 2008; 16(3):237–245. https://doi.org/10.1111/j.1365-2834.2007.00802.x.

15. Brewer CS, Kovner CT, Greene W, Tukov-Shuser M, Djukic M. Predictors of actual turnover in a national sample of newly licensed registered nurses employed in hospitals. Journal of Advanced Nursing. 2012; 68(3):521–538. https://doi.org/10.1111/j.1365-2648.2011.05753.x.

16. Bowles C, Candela L. First job experiences of recent RN graduates: Improving the work environment. Journal of Nursing Administration. 2005; 35(3):130–137.

17. Park JH, Chun IS. The lived experience of newly employed nurses: Phenomenological study. Journal of Qualitative Research. 2008; 9(2):99–110.

18. Cho YK. A structural equation model on new graduate nurses' turnover intentions and turnover [dissertation]. Seoul: Ewha Womans University;2013.

19. Yun HM, Kim JS. An analysis of the factors affecting turnover intention of new nurses. Global Health & Nursing. 2012; 2(2):52–61.

20. Lee WS. A prediction model of role transition for graduated nurse [dissertation]. Seoul: Yonsei University;2015.

21. Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational socialization of new clinical nurses. Journal of Korean Clinical Nursing Research. 2008; 14(1):85–97.

22. Caplan RD, Cobb S, French JRP. Job demands and worker health: Main effects and occupational differences. Michigan: University of Michigan. Survey Research Center;1980.

23. Choi GY, Jo YH. The mediating effects of burnout on the relation between role stress ․ social support and organizational commitment ․ turnover intention - In hotel organization. Journal of Tourism Services Research. 2003; 3(1):195–226.

24. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005; 17(4):297–317.

25. Mobley WH. Employee turnover: Causes, consequences, and control. Reading, MA: Addison-Wesley;1982.

26. Becker TE. Foci and bases of commitment: Are they distinctions worth making? Academy of Management Journal. 1992; 35(1):232–244. https://doi.org/10.2307/256481.

27. Kim MR. Influential factors on turnover intention of nurses: The affect of nurse's organizational commitment and career commitment to turnover intention. Journal of Korean Academy of Nursing Administration. 2007; 13(3):335–344.

28. Beecroft PC, Dorey F, Wenten M. Turnover intention in new graduate nurses: A multivariate analysis. Journal of Advanced Nursing. 2008; 62(1):41–52. https://doi.org/10.1111/j.1365-2648.2007.04570.x.

29. Lee YM, Jang WY, Kim YH. Correlations between carrier barrier factors and nurses' turnover intention. Global Health & Nursing. 2013; 3(1):34–44.